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"A woman’s right to make decisions about her health is essential. As we review today’s Supreme Court decision, as the Administrator of the Centers for Medicare & Medicaid Services, I will do everything in my authority to ensure that people have the choice of when and how to start a family.
Today, more than 150 million people are served by Medicare, Medicaid and CHIP, and the Affordable Care Act, including more than 80 million women and girls. To you I say: CMS will continue working to maintain and expand access to the full range of reproductive health care services across the lifespan—that includes IUDs, emergency contraception, oral contraception, other forms of contraception, and abortion care within our legal authority. It is our fundamental value that reproductive health care is critical to ensuring that everyone can build healthy lives with economic security."
Read the full news release.
Individuals can access free or low-cost reproductive health services at local health departments, Planned Parenthood clinics, federally qualified health centers and rural health clinics across the state.
To find a clinic, visit: healthoregon.org/rhclinics, dial 211, or text HEALTH to 898211.
Following a U.S. Supreme Court decision today that overturns Roe vs. Wade, Oregon Health Authority (OHA) is reminding people that abortion remains legal in the state.
The Reproductive Health Equity Act (RHEA) was established in 2017 after the Oregon Legislature passed House Bill 3391. The landmark legislation contained multiple provisions to both protect and expand access to the full scope of reproductive health services, including abortion, for all people in Oregon. RHEA enshrined into state law an individual’s right to receive an abortion, as well as a health care provider’s right to provide an abortion.
“The decision by the U.S. Supreme Court to overturn Roe vs. Wade does not change the fact that people in Oregon are guaranteed the right to receive abortion services, which remain legal in this state,” said OHA Director Patrick Allen. “OHA will continue to implement and promote RHEA to ensure that people in Oregon have access to essential reproductive health services, including abortion, sterilization and contraceptives, without any barriers.”
This includes a legal right for anyone who comes to Oregon for an abortion, not just Oregon residents.
While the abortion rate has declined across the country in the last 30 years, the need for abortion care has recently been on the rise, according to Guttmacher Institute, which found the abortion rate increased by 7% from 2017 to 2020. In Oregon, the abortion rate declined by 21% during this time.
Oregon is one of 16 states and the District of Columbia that has laws that protect the right to abortion, and is just one of four states and the District of Columbia that has ensured the right to abortion without any restrictions or state interference. Oregon also is one of only seven states that funds abortions, using state general funds under the Oregon Health Plan (OHP), the state’s Medicaid program, without any restrictions.
In 2017, RHEA further expands access to abortion by requiring health benefit plans regulated by the state of Oregon to cover abortion services without any cost sharing to its members. It also provides coverage for abortion services for people not eligible for the Oregon Health Plan because of their immigration status, including those with DACA status, those with no documentation, and people with legal permanent resident status who have not met the five-year waiting period for OHP eligibility.
And abortion access will continue to expand with the Oregon Legislature’s passage earlier this year of House Bill 5202, which allocates $15 million in state general funds to advancing reproductive health equity. The funds will be distributed by OHA to Seeding Justice, a grant-making organization, to establish the Reproductive Health Equity Fund, which will invest in culturally specific health outreach and education programs around the state that benefit patients, health care providers and community advocates.
Read the news release.
The Insurance Code is comprised of multiple chapters in the Oregon Revised Statutes (ORS), which are itemized in ORS 731.004, and is administered by the Oregon Department of Consumer & Business Services (DCBS).
OHA has in the past communicated to CCOs that work under their Medicaid managed care contracts – and by extension, their associated non-Medicaid managed care contracts – with OHA is exempt from the Insurance Code, based on ORS 414.591(9). Although this statute as currently written applies to CCOs, when originally enacted it applied to various types of prepaid managed care health services contracts between OHA and contractors that include DCOs.
OHA has consulted with DCBS on the applicability of the Insurance Code to DCOs. OHA and DCBS concur that a DCO is not subject to the Insurance Code for work performed under a Subcontract with a CCO provided that the work is directly related to the CCO’s Medicaid or non-Medicaid managed care contract, or both, with OHA. Additionally, a DCO continues to be exempt from the Insurance Code when performing work under its direct Medicaid managed care contract with OHA.
Read the full memo. For questions, please contact Cheryl Henning, CCO Contracts Administrator and Interim DCO Contracts Administrator, at Cheryl.L.Henning@dhsoha.state.or.us.
Reimbursement rate increase for lead poisoning home investigations and follow-up case management, effective July 1, 2022
OHA is increasing the reimbursement rate for a comprehensive home investigation for cases of lead poisoning in children under 18 years of age from $200 to $600. Payment for code T1029 includes the home investigation and any follow-up case management services provided after the home investigation is completed. Reimbursement is limited to one time per dwelling.
OHA Public Health Division, Office of Health Care Regulation and Quality Improvement (HCRQI) will be convening a Hospice Program Licensing Rule Advisory Committee in July/August. Oregon Administrative Rules (OAR) chapter 333, division 35 are being amended to align with other regulatory licensing rules. The following changes are under consideration – adopting separate rules relating to the review, approval, or denial of a license application; stipulating requirements for serving a specified geographic service area; information on advance directives; development of infection control policies and procedures; and requirements to measure, analyze and track performance indicators. Additional changes will be considered that align with Oregon statutes.
Hospice programs, utilizing an interdisciplinary team of staff trained to provide palliative care and supportive services, are required by ORS 443.860 to be licensed. Services provided by these programs include acute, respite, home care and bereavement services to individuals whose life expectancy is six months or less. In addition to the requirements in ORS 443.850 to 443.869, hospice programs in Oregon are required to comply with Centers for Medicare and Medicaid Services regulations, 42 CFR 418 .
If you have any questions or are interested in receiving future meeting information about this RAC, please email mellony.c.bernal@dhsoha.state.or.us no later than June 30, 2022.
The Measure 110 Oversight and Accountability Council (OAC) approved one additional Behavioral Health Resource Network (BHRN) on Wednesday, June 22, for Wallowa County with an investment of $750,000. The OAC has now approved 19 out of 36 counties.
The funds for the 19 approved BHRNs now total nearly $72 million. To date, nearly $114 million has been allocated in support of Measure 110, including Access to Care (ATC) grant funding.
OHA has developed a statewide map visualization that shows the BHRNS that have been approved for funding; (in orange) along with those that have been selected by the OAC (in blue) and are in negotiations for funding approval.
See OHA’s robust new dashboard showing the BHRN approval and funding progress being made to date. OHA will continue to provide frequent updates on the funding process.
Read the full news release.
Weekly updates on major Medicaid projects
1115 Medicaid Waiver
The current 1115 Waiver ends June 30, 2022. OHA anticipates an extension until September 30, with approval for the renewal at that time.
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Oregon Health Plan Redeterminations
No new updates.
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Healthier Oregon
CPOP Healthcare Navigation and Utilization training on June 28
The Community Partner Outreach Program (CPOP) CHW team is inviting CCOs to a special CPOP Healthcare Navigation and Utilization training. This will be the training that CPOP community partners will be taking to support Healthier Oregon members. We would like to invite you to a CCO-only session to participate and provide feedback to the CPOP CHW team. Our goal is to develop a stronger partnership between CPOP, community partners, and CCOs to provide healthcare system navigation to new Healthier Oregon members.
By the end of the session, participants will be able to:
- Define the components of health navigation.
- Explain to OHP members what a CCO is and the services available or provided to members.
- Explain what a medical home is, and the importance of engaging with preventative care.
- Demonstrate ability to help members overcome barriers to engaging and using their benefits.
The training will be delivered using Popular Education, a methodology proven to be effective when training CHWs. This means training will be interactive
and will require to have camera on as much as possible.
Meeting information
If you have questions, please contact Bevin Ankrom at Bevin.L.Ankrom@dhsoha.state.or.us or Liliana Villanueva at Liliana.Villanueva@dhsoha.state.or.us.
Rates as of 06/22/2022
   
June 28, 2022
- 9:05 to 10:25 a.m., CCO Contracts & Compliance
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Agenda includes: Hep C Considerations, SUD Waiver, Child Welfare Custody and Developmental Disabilities Placement, BH Rates, BH Metrics, MMIS change to increase CCO/FFS Rate
June 29, 2022
Please visit the committee and workgroup links below for more information about meetings. You can also view the OHA Public Meeting calendar.
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